MEDICARE: SUNSHINE PEDIATRICS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician

General Provider Information

NPI Number	:	1417991704
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUNSHINE PEDIATRICS LLC

Provider Business Mailing Address
First Line	:	408 W RIDGE PIKE
Second Line	:
City	:	CONSHOHOCKEN
State	:	PA
Zip	:	19428-1223
Country	:	US
Telephone Number	:	610-825-1994
Fax Number	:	610-825-2949

Provider Business Practice Location Address
First Line	:	408 W RIDGE PIKE
Second Line	:
City	:	CONSHOHOCKEN
State	:	PA
Zip	:	19428-1223
Country	:	US
Telephone Number	:	610-825-1994
Fax Number	:	610-825-2949

Authorized Official
Title or Position	:	SENIOR PARTNER
Name	:	DR. CHHAYA SHRIKANT CHAUDHARY
Credential	:
Telephone Number	:	610-825-1994

Provider Enumeration Date	:	06/16/2006
Last Update Date	:	08/22/2020

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Directions to “SUNSHINE PEDIATRICS LLC ” Practice Location

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